Clinical Effects of Continuous Drainage of Cerebrospinal Fluid in Lumbar Cistern on Patients With Traumatic Subarachnoid Hemorrhage

Objective To analyze the effects of continuous drainage of cerebrospinal fluid in lumbar cistern on patients with traumatic subarachnoid hemorrhage (tSAH). Methods 111 patients with tSAH were randomized into control and treatment group. Patients in the control group underwent lumber puncture, cerebrospinal fluid (CSF) were changed with physiological saline (N.S), and oxygen were injected into sheath; and patients in treatment group received additional continuous drainage of cerebrospinal fluid in lumbar cistern. All treatment performed at 2nd day after injured. The time of regain consciousness, days in hospital, complications and prognosis were observed. Results Time of regain consciousness and days in hospital were evidently longer in control group than in treatment group ( P 0.05 or P 0.01). Compared with control group, the hydrocephalus, cerebral infarction and re-hemorrhage decreased significantly ( P 0.01), the difference of mortality, middling and severe deformity and the prognosis between treatment group and control group were significantly. The treatment group was markedly excelled. Conclusions Continuous drainage of cerebrospinal fluid in lumbar cistern is a preferable therapy for traumatic subarachnoid hemorrhage and worth to use.[